Respiratory Question #28

Question

The nurse is assisting the health care provider in the removal of a chest tube. How will the nurse instruct the client during the procedure?

Answers

  1. “Breathe in and out while concentrating on a fixed object in the room.”
    • Rationale:
  2. “Hold your breath and bear down while the tube is being removed to keep air from entering back into the area.”
    • Rationale:
  3. “Do purse-lipped breathing then short huffing breaths while the tube is being removed to keep air from entering into the area.”
    • Rationale:
  4. “Hold my hand and close your eyes while the tube is being removed since anxiety will cause you to breathe too quickly.”
    • Rationale:

Overview

Explanation

The nurse should instruct the client to hold his or her breath and bear down which is called the Valsalva maneuver during the chest tube removal. This causes an increase in intrathoracic pressure and helps decrease the potential for air to enter the pleural space.

Learning Outcomes

Test Taking Tip

Video Rationale